Saturday, February 9, 2019
Efficacy of Portable Head CT Scan in the Neuroscience Intensive Care Un
IntroductionPortable Computed Tomography (CT) studies are an important portion used to manage, assess and diagnose CNS diseases, and acute intelligence injuries, in the Neuroscience ICU (NICU). The portable device is designed specifically for head and bang run overs for critically ill patients that are at risk for complications and increased morbidity during intrahospital transportation. Research has found evidence which substantiates that intrahospital transport of patients with brain injuries can reach their outcomes. Many hospital protocols dictate the use of portable head CT (pHCT) scanners to monitor and assess critically ill patients in the NICU, to decrease detrimental patient outcomes from intrahospital transportation. This is an important factor in reduction and prevention standby injuries in critically ill patients. The intention of this paper is to critically read a research article entitled Portable Head CT Scan and its Effect on Intracranial rack (ICP), Cere bral Perfusion Pressure (CPP), and Brain Oxygen. First, there pass on be an article synopsis identifying the stick in of the study. Second, validity of the study will be described and discussed. Lastly, this paper will discuss applicability to Neuroscience ICU at University of New Mexico (UNM) Hospital.Article analysisThe authors of this research article were from various Departments at University of Pennsylvania in Philadelphia. The researchers conducted a retro study to assess possible detrimental association of a pHCT on ICP, CPP, and brain oxygen in patients with severe brain hurt. The retrospective study selected 34 patients (16 males and 18 females), with the mean age of 42 (15 years), and Glasgow Coma Scores (GCS) 8 at the time of pHCT sca... ...eterious effects on patients. ConclusionPeace et.al. raises a valid hypothesis that warrants further investigation in order to decrease the risks to patients on NICU and other units/ hospitals. In my opinion, studies with signi ficant findings, reliability, high internal and external validity, are imperative in making changes in hospitals around the world to decrease secondary injury to patients. This study can possibly entice other researchers to develop a better study design and investigate the relationship between pHCT scans and ICP, CPP and brain oxygen, more vigorously. Works CitedPeace, K., Maloney-Wilensky, E., Frangos, S., Hujcs, M., Levine, J., Kofke, W.A., Yang, W., & Le Roux, P.D. (2011). Portable head CT scan and its effect on intracranial pressure,cerebral perfusion pressure, and brain oxygen. Journal of Neurosurgery, 114(5), 1479-1484.
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